| Ettinger Medical Services Pllc | |
|
25 Brycewood Dr Dix Hills NY 11746-4906 | |
| (631) 974-7236 | |
| Not Available |
| Full Name | Ettinger Medical Services Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 25 Brycewood Dr, Dix Hills, New York |
| Authorized Official Name and Position | Alan Ettinger (OWNER) |
| Authorized Official Contact | 6319747236 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ettinger Medical Services Pllc Po Box 20550 Huntington Station NY 11746-0864 Ph: (631) 974-7236 | Ettinger Medical Services Pllc 25 Brycewood Dr Dix Hills NY 11746-4906 Ph: (631) 974-7236 |
| NPI Number | 1114639309 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 06/20/2023 |
| Certification Date | 06/20/2023 |
| Medicare PECOS PAC ID | 0042682932 |
|---|---|
| Medicare Enrollment ID | O20230201002702 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114639309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Alan Ettinger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467432625 PECOS PAC ID: 1052379088 Enrollment ID: I20041222000438 |
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